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Feline
Hyperthyroidism is one of the most common endocrine disorders in middle-aged
and older cats. It is estimated that one in three hundred cats are affected
by hyperthyroidism. The normal thyroid glands are located in the neck
and produce hormones that regulate cellular metabolism in all organs
of the body. The amount of thyroid hormone produced by the thyroid glands
is regulated by the pituitary gland in the brain. The pituitary signals
the thyroid glands to maintain proper levels of circulating thyroid
hormone. This mechanism keeps cellular metabolism in balance. Most cases
of feline hyperthyroidism are due to benign thyroid tumors called nodular
hyperplastic goiters. These goiters are clones of autonomous cells that
produce hormones but are not affected by pituitary regulation. Consequently,
these tumors produce excessive amounts of thyroid hormone. Only the
size and capacity of the tumor determine the amount of excessive hormone
produced.
The signs and symptoms
of hyperthyroidism are multi-systemic and relate to increased metabolic
changes. Hyperactivity and other behavioral changes, weight loss, increased
appetite, increased thirst, increased elimination, vomiting, diarrhea,
panting, rapid heart rate, increased shedding, and occasionally lethargy
have been observed. An enlarged thyroid mass(es) may be palpated in
the lower neck area, although many cats have masses in the chest and
no evidence of any masses in the neck. High blood pressure or hypertension,
which affects highly vascular organs of the body, is a common symptom.
Blindness due to retinal hemorrhage, kidney disease, heart disease (including
heart failure), and hypertrophic cardiomyopathy may also be associated
with this condition. Without treatment, these signs and symptoms will
become more severe with time and produce fatal results.
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